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    Passport Application Form

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    aroragaurav118.11
    1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

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    Passport Application Form

    Uploaded by

    aroragaurav118.11
    17 views2 pages
    1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

    Original Title

    Passport Application Form (1)

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    1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views2 pages

    Passport Application Form

    Uploaded by

    aroragaurav118.11
    1. Satish Kumar Arora is applying for a fresh normal Indian passport. He provides his personal details including name, date of birth, place of birth, gender, marital status, citizenship, address, contact information, and family details. 2. He affirms that the information provided is true and correct, and that he has not lost or surrendered Indian citizenship. He acknowledges that supplying false information is a criminal offense under the Passports Act of 1967. 3. The application includes enclosures of his Aadhaar card and Aadhaar address proof. Satish signs the application, certifying the provided information is bona fide, in Saifpur Firozpur on July 26,

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PASSPORT APPLICATION FORM

    Government of INDIA, Ministry of


    External Affairs

    Service Required
    Application Reference Number 23-0014117592
    Applying For FRESH
    Type of Application NORMAL
    Type of Passport Booklet NORMAL
    Applicant Details
    Applicant's Name SATISH KUMAR ARORA
    Date of Birth (DD/MM/YYYY) 05/01/1968
    Validity Required NA
    Place of Birth (Village/Town/City) RAMRAJ
    District MEERUT
    State/UT UTTAR PRADESH
    Region/Country INDIA
    Gender MALE
    Marital Status MARRIED
    Citizenship of India by BIRTH
    PAN ERMPK4473A
    Employment Type OTHERS
    Is either of your parent (in case of
    N
    minor)/spouse, a government servant?
    Educational Qualification 10TH PASS AND ABOVE
    Are you eligible for Non-ECR category? Y
    Aadhaar Number 305495282338
    Family Details
    Father's Name KARAM CHAND
    Mother's Name KAUSHALYA
    Spouse's Name NEELAM ARORA
    Present Residential Address Details
    HOUSE NUMBER 277 RAMLILA GROUND SAIFPUR FIROJPUR,
    Address
    SAIFPUR FIROZPUR, MEERUT, UTTAR PRADESH
    PIN 250404
    Police Station BAHSUMA
    Mobile/Tel No. 9837287762
    E-mail [email protected]
    Permanent Residential Address
    HOUSE NUMBER 277 RAMLILA GROUND SAIFPUR FIROJPUR,
    Address
    SAIFPUR FIROZPUR, MEERUT, UTTAR PRADESH
    PIN 250404
    Police Station BAHSUMA
    Mobile/Tel No. 9837287762
    Emergency Contact Details
    Name and Address GAURAV ARORA
    Mobile/Tel No. 9012656463
    E-mail [email protected]
    Other Details
    Enclosures
    1.Aadhaar Card/E-Aadhaar
    2.Aadhaar Card (Address Proof)
    Self Declaration
    I owe allegiance to the sovereignty, unity & integrity of India, and have not voluntarily acquired citizenship or
    travel document of any other country. I have not lost, surrendered or been deprived of the citizenship of India. I
    have not contravened any of the conditions relating to the possession and use of an Indian passport.
    I affirm that the information and particulars given by me in this form are true and correct. I further state that I am
    not suppressing any material information in this regard. I further affirm that the enclosures and documentary
    proof submitted in support of my application for an Indian passport are authentic and solely pertain to me and I
    am fully responsible for the accuracy of the same. I am liable to be penalized or prosecuted if found otherwise. I
    am aware that under the Passports Act, 1967 it is a criminal offence to furnish any false information or to
    suppress any material information with a view to obtaining passport or travel document.
    I have read and understood the contents of the above and by submitting this form certify that all the information
    submitted by me in the form is bonafide.
    Place SAIFPUR FIROZPUR
    Date 26/07/2023

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